Abstract
Obsolete. A word used by one UN head of agency to describe the world's current approach to global health. He made an arresting speech, signalling that the future for health was turbulent, and that global institutions were unprepared for the coming storm. The Millennium Development Goals (MDGs) have 1000 days left. They will be superseded by…we don't yet know quite what. 50 individuals gathered in Gaborone, Botswana's capital, last week to write two pages for a High-Level Panel, chaired by three heads of state (Liberia, Indonesia, and the UK), which meets later this month in Bali. The prelude to Botswana had been marked by disagreement. How many goals should the health community ask for? And what should it (or they) be? The risk of disagreement was real. Another UN head of agency pleaded for “compromise”. A third issued “warnings”. In the event, the Botswana dialogue was not only surprisingly harmonious. It was radically productive.
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